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[健康受试者静脉注射盐酸索他洛尔后血浆水平及对心电图间期的作用]

[Plasma level and action of sotalol-HCL on the ECG interval after parenteral administration in healthy subjects].

作者信息

Rehm K D, Schnelle K, Dyde C J, Blümner E, Arendts W

机构信息

IPHAR Institut für Klinische Pharmakologie GmbH, München.

出版信息

Arzneimittelforschung. 1987 Sep;37(9):1058-62.

PMID:3435602
Abstract

Sotalol (Sotalex; Sotacor) is a beta-blocker with additional class III antiarrhythmic activity. In this study two intravenous doses of 1.5 mg/kg and 2 mg/kg body weight were administered in 8 healthy volunteers in order to determine the pharmacokinetics and ECG intervals. After a short-term infusion (5 min) plasma levels and the relevant pharmacokinetic parameters were determined. The ECG parameters (QRS, PQ, QT, QTc), blood pressure, heart rate and tolerability were also evaluated. A correlation between the plasma concentration of sotalol, the decrease in heart rate and a prolongation of the real QT interval was found for both dose levels and for a period of 2 h after administration. A prolongation of the QTc-time could only be statistically confirmed for the higher dose. No differences in pharmacokinetic parameters were observed between the two doses.

摘要

索他洛尔(苏特来克斯;索他洛尔)是一种兼具Ⅲ类抗心律失常活性的β受体阻滞剂。在本研究中,对8名健康志愿者静脉注射了1.5毫克/千克和2毫克/千克体重这两种剂量,以确定其药代动力学和心电图间期。在短期输注(5分钟)后,测定了血浆水平及相关药代动力学参数。还评估了心电图参数(QRS、PQ、QT、QTc)、血压、心率和耐受性。在给药后2小时内,两种剂量水平下均发现索他洛尔血浆浓度、心率降低与实际QT间期延长之间存在相关性。仅在较高剂量时,QTc时间延长才能得到统计学证实。两种剂量之间未观察到药代动力学参数的差异。

相似文献

1
[Plasma level and action of sotalol-HCL on the ECG interval after parenteral administration in healthy subjects].[健康受试者静脉注射盐酸索他洛尔后血浆水平及对心电图间期的作用]
Arzneimittelforschung. 1987 Sep;37(9):1058-62.
2
Pharmacokinetic, pharmacodynamic, and safety evaluation of an accelerated dose titration regimen of sotalol in healthy middle-aged subjects.索他洛尔加速剂量滴定方案在健康中年受试者中的药代动力学、药效学及安全性评估。
Clin Pharmacol Ther. 1999 Jul;66(1):91-9. doi: 10.1016/S0009-9236(99)70058-5.
3
[Electrophysiological effects of intravenous sotalol. Relation with plasma levels].
Arch Mal Coeur Vaiss. 1985 Apr;78(4):562-8.
4
Rate dependence of sotalol-induced prolongation of ventricular repolarization during exercise in humans.索他洛尔在人体运动期间诱导心室复极延长的心率依赖性。
Circulation. 1991 Feb;83(2):536-45. doi: 10.1161/01.cir.83.2.536.
5
Pharmacokinetics and pharmacodynamics of sotalol in a pediatric population with supraventricular and ventricular tachyarrhythmia.索他洛尔在患有室上性和室性快速心律失常的儿科人群中的药代动力学和药效学。
Clin Pharmacol Ther. 2001 Mar;69(3):145-57. doi: 10.1067/mcp.2001.113795.
6
Investigating the effect of sotalol on the repolarization intervals in healthy young individuals.研究索他洛尔对健康年轻个体复极间期的影响。
J Electrocardiol. 2008 Nov-Dec;41(6):595-602. doi: 10.1016/j.jelectrocard.2008.06.013. Epub 2008 Sep 17.
7
Efficacy of oral sotalol in suppression of premature ventricular complexes and analysis of its beta-adrenergic blocking activity.
Can J Cardiol. 1990 Jun;6(5):191-7.
8
The safety and tolerability of single intravenous doses of lubeluzole (Prosynap) in healthy volunteers.
Int J Clin Pharmacol Ther. 1997 Nov;35(11):491-5.
9
Measuring the effects of supratherapeutic doses of levofloxacin on healthy volunteers using four methods of QT correction and periodic and continuous ECG recordings.采用四种QT校正方法以及定期和连续心电图记录,测量超治疗剂量左氧氟沙星对健康志愿者的影响。
J Clin Pharmacol. 2004 May;44(5):464-73. doi: 10.1177/0091270004264643.
10
Safety and pharmacologic activity of a new nitrate ester, ITF 296, after intravenous administration in healthy volunteers.新型硝酸酯类药物ITF 296在健康志愿者静脉给药后的安全性和药理活性。
J Cardiovasc Pharmacol. 1995;26 Suppl 4:S72-9.

引用本文的文献

1
Informing a Comprehensive Risk Assessment of Infant Drug Exposure From Human Milk: Application of a Physiologically Based Pharmacokinetic Lactation Model for Sotalol.从人乳中告知婴儿药物暴露的综合风险评估:索他洛尔生理基于药代动力学的泌乳模型的应用。
J Clin Pharmacol. 2023 Jun;63 Suppl 1:S106-S116. doi: 10.1002/jcph.2242.
2
Physiologically based pharmacokinetic models in the prediction of oral drug exposure over the entire pediatric age range-sotalol as a model drug.基于生理学的药代动力学模型在预测整个儿科年龄范围内口服药物暴露中的应用——以索他洛尔为模型药物。
AAPS J. 2014 Mar;16(2):226-39. doi: 10.1208/s12248-013-9555-6. Epub 2014 Jan 8.
3
Sotalol. An updated review of its pharmacological properties and therapeutic use in cardiac arrhythmias.
索他洛尔。其药理特性及在心律失常治疗应用中的最新综述。
Drugs. 1993 Oct;46(4):678-719. doi: 10.2165/00003495-199346040-00007.